Receiving Helpdesk

what is the only subcutaneous site for lovenox

by Dr. Loraine McDermott Published 3 years ago Updated 2 years ago

Lovenox should not be injected into a muscle, an area close to the bone, in a vein, in the face or scalp, in the navel, or the hands or feet. It should only be injected into the abdomen, the outer thigh, the buttocks, or the outer upper arm. How do you inject Lovenox into the stomach area? Injecting Lovenox into the stomach area is easy. 1.

This medication is given by injection under the skin as directed by your doctor, usually once or twice a day in the abdomen (at least 2 inches from your belly button). Do not inject into a muscle. The dosage and length of treatment are based on your medical condition and response to treatment.

Full Answer

Can Lovenox be given subcutaneously?

LOVENOX dosing. For subcutaneous use, LOVENOX should not be mixed with other injections or infusions. LOVENOX is not intended for intramuscular administration. View additional dosing information in the Full Prescribing Information.

Where do you inject Lovenox?

You can also inject yourself in the thigh as well, but the preferred spot is the abdominal area. The NIH studies show absolutely no difference in PT/PTT blood work when it comes to injection site of Lovenox (injection site tested: abdomen 2" from belly button, upper arm in fatty layer, buttocks and outer thigh; given subcutaneously.

Where is the best place to give Lovenox?

Lovenox is usually given in the fatty layer of the abdomen but can also be given in the thigh or fatty layer of the upper arm but preferrably the abdomen or thigh. I have been on and off Lovenox and Coumadin for years and will be on Coumadin the rest of my life and I go on Lovenox when my levels are not therapeutic or...

How should patients be positioned for Lovenox administration?

Position patients in a supine position for Lovenox administration by deep subcutaneous injection. Do not expel the air bubble from the prefilled syringes before the injection, to avoid the loss of drug.

Where is the best place to give a Lovenox shot?

Some medicines, such as insulin or the blood-thinner enoxaparin (Lovenox), are injected only under the skin. This type of shot is usually given in the belly or the thigh. At first, you may be nervous about giving yourself a shot.

Why is Lovenox only given in the abdomen?

Lovenox should never be injected into muscle. This could cause bleeding into the muscle. By gently pinching the skin between your fingers all through the injection, the medicine only enters the fatty tissue of your stomach and not muscle.

What sites would you use for subcutaneous injections?

Recommended sites for subcutaneous injection include the lateral aspects of the upper arm and thigh, and the umbilical region of the abdomen (Ogston-Tuck, 2014; Hunter, 2008). The back and lower loins can also be used (Fig 2).

What is the preferred site for the administration of subcutaneous enoxaparin sodium?

The preferred site of injection is the abdominal area. Injections must be given 2 inches away from the umbilicus (see diagram).

Can you give Lovenox subcutaneous in the arm?

Enoxaparin is given by a subcutaneous injection. A subcutaneous injection is an injection into the tissue just below the skin. The injections can be given in the legs, arms or abdomen.

Can Lovenox be given in the leg?

Lovenox should not be injected into a muscle, an area close to the bone, in a vein, in the face or scalp, in the navel, or the hands or feet. It should only be injected into the abdomen, the outer thigh, the buttocks, or the outer upper arm.

Which layer of skin is best for subcutaneous injections?

Subcutaneous (SC) injections are administered into the adipose tissue layer just below the epidermis and dermis. This tissue has few blood vessels, so drugs administered by this route have a slow, sustained rate of absorption.

What are the 5 injection sites?

IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis3,10,11 (Figure 1).

Why are subcutaneous injections given at a 45 degree angle?

Insert the needle quickly at a 45- to 90-degree angle. Inserting quickly causes less pain to the patient. Subcutaneous tissue is abundant in well-nourished, well-hydrated people. For patients with little subcutaneous tissue, it is best to insert the needle at a 45-degree angle.

Is Lovenox given subcutaneously?

The recommended dose of Lovenox is 40 mg by subcutaneous injection once a day (with the initial dose given 2 hours prior to surgery) in patients undergoing abdominal surgery who are at risk for thromboembolic complications. The usual duration of administration is 7 to 10 days [see Clinical Studies].

When selecting an injection site what site would be most appropriate?

The injection site is generally three finger widths below, in the middle of the muscle. Select needle length based on age, weight, and body mass.

How do you administer enoxaparin Lovenox?

Sit or lie in a position that lets you see your belly. Choose a site on the right or left side of your belly, at least 5 centimetres (2 inches) from your belly button. Clean the injection site with the alcohol wipe or cotton ball. Let it dry.

4 Answers

Lovenox: This medication is given as an injection just under the skin (as a subcutaneous injection). In certain circumstances, it may also be administered intravenously (by IV). The injections are usually given in the fatty layer on the abdomen (the "stomach" area).

Search for questions

Still looking for answers? Try searching for what you seek or ask your own question.

Where should the needle be introduced for a syringe injection?

The whole length of the needle should be introduced into a skin fold held between the thumb and forefinger; the skin fold should be held throughout the injection. To minimize bruising, do not rub the injection site after completion of the injection.". 1 Likes.

Can you use a 40 mg syringe before an injection?

To avoid the loss of drug when using the 30 and 40 mg prefilled syringes, do not expel the air bubble from the syringe before the injection. Administration should be alternated between the left and right anterolateral and left and right posterolateral abdominal wall.

What are the problems with Lovenox?

Lovenox must be used with care in patients who have any of the following: problems with clotting, uncontrolled high blood pressure, a recent ulcer, impaired vision due to diabetes, kidney problems, and excessive bleeding.

What are the side effects of Lovenox?

The most common side effects from the use of Lovenox are local irritation, pain, bruising, or redness of the skin at the site of injection. Other common side effects include bleeding, anemia, diarrhea, nausea, ecchymosis, fever, edema, peripheral edema, dyspnea, confusion.

Does Lovenox cause bleeding?

Lovenox alters the blood's ability to clot. Excessive bleeding (hemorrhage), leading to death, has occurred with Lovenox. Bleeding can occur at any site with Loveno x use. The use of aspirin and other NSAIDs may enhance the risk of excessive bleeding.

Can Lovenox cause thrombocytopenia?

Some patients on Lovenox can experience drops in their platelet counts, a condition called "thrombocy topenia.". Also, a serious but rare condition called "heparin-induced thrombocytopenia" can occur with Lovenox. If you have had this condition, you must promptly notify your healthcare professional.

Can Lovenox be used for numbness?

It is important to contact your doctor immediately if you experience symptoms such as tingling, numbness (especially in the lower limbs), or muscular weakness. Lovenox should not be used in patients who are actively bleeding or who have a low count of blood cells called platelets, which aid in clotting.

Is Lovenox safe for spinal cord?

NURSE, VOICE-OVER: Important Safety Information for Lovenox ® . If you are receiving epidural or spinal anesthesia or undergoing spinal puncture, and taking Lovenox (enoxaparin sodium injection), you may be at increased risk of developing a blood clot in or around the spine, which can result in long-term paralysis.

Can you inject Lovenox yourself?

If you don’t feel comfortable injecting Lovenox yourself, you can have a family member or a caregiver do it—just make sure they’ve been shown how by a healthcare professional. PATIENT, VOICE-OVER: Make sure you inject Lovenox exactly how your healthcare professional prescribed, for the exact number of days.

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